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Senior Data Quality Specialist
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Job Description
- Req#: JobReq0055235
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Full-time remote position offering flexibility in work location
- Opportunity for career advancement and growth within the organization
- Work for a faith-based, nonprofit health system dedicated to patient care
- Collaborative and inclusive work environment that values diverse perspectives
- Engage in impactful work that supports exceptional patient care and coding accuracy
What to Expect (Job Responsibilities):
- Review coding-related claim edits, payer denials, and create appeal letters when appropriate
- Perform focused coding, charge, and documentation audits
- Identify coding and documentation trends and provide education to coding teams and clinical providers
- Collaborate with denials and release of information teams for appeals process
- Review monthly and quarterly educational material for accuracy
What is Required (Qualifications):
- Minimum of 6-9 years of experience in coding and claims management
- Certification as a Coding Specialist from the American Health Information Management Association
- Associate Degree or equivalent experience (7 years may substitute for degree)
- Proven ability to perform coding audits and identify trends
- Strong written communication skills for creating accurate appeal letters
How to Stand Out (Preferred Qualifications):
- Experience in a healthcare-related coding environment
- Familiarity with payer denials and appeals processes
- Knowledge of coding guidelines and regulations
- Ability to educate and train staff on coding standards and practices
- Strong analytical skills to assess coding trends and documentation accuracy
#HealthcareServices #CodingSpecialist #RemoteWork #CareerGrowth #InclusiveWorkplace
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